Individual
MANISHA MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
280 FIRST STREET, BLDG 23, 49TH MEDICAL GROUP/SGOMP, HOLLOMAN AFB, NM 88330-8273
(575) 572-1816
(575) 572-2259
Mailing address
3807 SPENCER AVE, CINCINNATI, OH 45212-3833
(937) 219-6081
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
27633
NE
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35.135960
OH
208D00000X
General Practice Physician
27633
NE
Other
Enumeration date
04/24/2012
Last updated
07/22/2022
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